HomeMy WebLinkAboutStreet Cut Permits 15 Debbie Drive (2) 1300026 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER - ,.,. STREET CUT PUBLIC UTILITY
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DATE: 04/04/2013 �
GIS ID:26700015 FEE: 0.00
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MUNIS APPLICATION# 201300354 E £ RATION DATE:
00
APPLICAN' s � %LOCATION
NAME: YANKEE GAS g S� 1D $ E DRIVE
ADDRESS: 112 PROSPECT HIL ERg �I( JOSEPH L&BARBARA K
EAST WINDSOR,CTB I1E DRIVE
4
i QTI INDSOR,CT 06074
PHONE 860-292-2242 fi i
WORK DESCRIPTION: REP CE C 11 52,160,163,171,190,200,205
APPLICANT AGREES TO FURNISH THE TO fis U1J OND REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR ANY -`. F MAINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND THE ILL ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN OF SO s :. `I1 IBC ERMIT MANUAL.
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ISSUED BY DA E-INSPECTED - INSPECTED BY-- —
4/4/2013 8:46 AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
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TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: 13 0DO ACg CONTRACTOR:
LOCATION: 1.5- b e 6J e k a vim.
TYPE OF WORK: 128A��� cr y g_l lo-1 y&,5
DATE INSP NEEDED: DATE INSP:
INSPECTED BY: BZ�
WORK IN
PROGRESS:
SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO
AS-BUILT:
INPUT: DATE:
S/FORMS/TOWN OF SOUTH WINDSOR INSPECTION
APPLICATION FOR STREET EXCAVATION PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT Permit No.
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT 06074
FEE $25.00
Name of Firm YC111 keQAddress.of Firm �o �(;�( ��� Phone No.
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Location of proposed work ebb;
17/ (9v 20� 2�
Describe fully nature of permit requested '� �•c« c�,i� vim(✓�
Starting date ?s�/,
Call Before You Di 2r, i Apprnx time fo.r co 2
g No. )3 3o32.Zc-f ..,. .,�,.,��,�u��� .� ,.-�.,��s
Traffic Services Control No.
Show sketch of proposed rvotlk or famish �,
two copies of separate drawing Indicate North This section to be filled out by
Town of South'Windsor
Pavement Cut
y No.cuts
Est.-Size of Pe mi.Patch(s)
Est.Pvt.Thickness in.
Est.Unit Price$
Amt.of Deposit$
Total Due$ by
Cash( )Check#
Permanent Patch
�i No. Cuts
Size of Patdxs)
Fina(Billing
Amt.Due Payee
SILL, 122D Amt Due Town
By
Applicant is responsible for contacti
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f>> the Police De t.and C.B.Y.D. -
I AGREE TO FURNISH TO THE TOWN OF SOUTH WINDSOR THE AMOUNT OF BOND REQUIRED AND TO REIMBURSE
TOWN OF SOUTH WINDSOR FOR ANY EXPENSES INCURRED BY THE TOWN FOR MAINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND THAT I AM FAMILIAR WITH AND WILL ABIDE BY THE RULES AND REGULATIONS FOR
PERMIT. AS D E TOWN OF SOUTHH WIINDSOR'S STREET CUT PERMIT MANUAL.
Signed. F` t
- Date:
Title: l.oer
Driver's License#:
PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES
Molloy, Catherine
From: CallCenter@CBYD.com
Sent: Thursday, March 28,2013 1:23 PM
To: - CBYD
Subject: locate Request-20131303225
CALL BEFORE YOU DI -G CT 0( ) 3/28/2013 13:23:21
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-OT 4-SW SWINDS -T5
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*** REMOTE BATCH ENTRY ***
*** ROUTINE *****
TIME. .13:23 DATE. .03/28/2013
REQUEST NO. . .20131303225
LATITUDE. .41.8516938 LONGITUDE. .-72.5028206
TOWN. . . . . .SOUTH WINDSOR
STREET. . . .DEBBIE DR
NEAREST
CROSS STREET. .NATSISKY FARM RD
---------
TYPE OF WORK. . . . .REPLACE CURB VALVE
AREA IS MARKED. . .YES
REMARKS:
AREA IS MARKED. EXCAVATION TO OCCUR CURB TO HOUSE, NO WORK IN STREET, AT THE FOLLOWING
HOUSE #'S #'S 152, 160, 163, 171, 190, 200, & 205 DEBBIE DRIVE
--------------------------------------------------------------------------
START DATE. . . . . .04/05/2013 START TIME. .07:30
CALLER. . . . . . . . . .DOUGLAS MACPHERSON
CALL BACK. . . . . . .7:30-4
PHONE #. . . . . . . . .860-292-2219
FAX #. . . . . . . . . . .860-292-2269
ALT. PHONE #. . . .
EMAIL ADDRESS. . .
CONTRACTOR. . . . . .YANKEE GAS SERVICES
ADDRESS. . . . . . . . .112 PROSPECT HILL RD
CITY. . . . . . . . . . . .EAST WINDSOR
STATE. . . . . . . . . . .CT
ZIP. . . . . . . . . . .06088
-------
EXCAVATOR DOING WORK. .YANKEE GAS / RHWHITE
ISSUED TO: DATE: TIME: BY:
DATE/TIME ARRIVED: TIME LEFT: COMPLETED BY:
CALL BACK: 1) DATE: TIME: BY: 2) DATE: TIME: BY:
PERSON CONTACTED: PERSON CONTACTED:
1
Molloy, Catherine
From: CallCenter@CBYD.com
Sent: Thursday, March 28, 2013 1:22 PM
To: CBYD
Subject: Locate Request-20131303224
(CALL BEFORE YOU DIG - CT) 03/28/2013 13:22:08
-5G -Cl -CW -GV
-OT 3-SW SWINDS -T5
--------------------------------------------------------------------------
*** REMOTE BATCH ENTRY ***
***** ROUTINE *****
TIME. .13:22 DATE..03/28/2013
REQUEST NO. . .20131303224
LATITUDE. .41.8516938 LONGITUDE. .-72.5028206
TOWN. . . . . .SOUTH WINDSOR
STREET. . . .DEBBIE DRIVE
NEAREST
CROSS STREET. .NATSISKY FARM RD
-------------------------------------------------------------------------
TYPE OF WORK. . . . .REPLACE CURB VALVE
AREA IS MARKED. . .YES
REMARKS:
AREA IS MARKED. EXCAVATION TO OCCUR CURB TO HOUSE, NO WORK IN STREET, AT THE FOLLOWING
HOUSE #'S #'S 15, 18, 47, 61, 77, 111, 116, & 129 DEBBIE DRIVE
--------------------------------------------------------------------------
START DATE. . . . . .04/05/2013 START TIME. .07:30
CALLER. . . . . . . . . .DOUGLAS MACPHERSON
CALL BACK. . . . . . .7:30-4
PHONE #. . . . . . . . .860-292-2219
FAX #. . . . . . . . . . .860-292-2269
ALT. PHONE #. . . .
EMAIL ADDRESS. . .
CONTRACTOR. . . . . .YANKEE GAS SERVICES
ADDRESS. . . . . . . . .112 PROSPECT HILL RD
CITY. . . . . . . . . . . .EAST WINDSOR
STATE. . . . . . . . .CT
ZIP. . . . . . . . . . . . .06088
--------------------------------------------------------------------------
EXCAVATOR DOING WORK. .YANKEE GAS / RHWHITE
ISSUED TO: DATE: TIME: BY:
DATE/TIME ARRIVED: TIME LEFT: COMPLETED BY:
CALL BACK: 1) DATE: TIME: BY: 2) DATE: TIME: BY:
PERSON CONTACTED: PERSON CONTACTED:
1